| Mrs Cassidy Diane Provo, PPC | |
|
2241 Farnum St Ste 102, Casper, WY 82609-4108 | |
| (307) 234-9979 | |
| (307) 234-9989 |
| Full Name | Mrs Cassidy Diane Provo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2241 Farnum St Ste 102, Casper, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942851019 | NPI | - | NPPES |
| 1295286185 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1151 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cassidy Diane Provo, PPC 2241 Farnum St Ste 102, Casper, WY 82609-4108 Ph: (307) 234-9979 | Mrs Cassidy Diane Provo, PPC 2241 Farnum St Ste 102, Casper, WY 82609-4108 Ph: (307) 234-9979 |
Miss Jane Elizabeth Matthews, M.S., P.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Daniel J Gallegos, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Micro Rd, Casper, WY 82601 Phone: 307-262-9961 | |
Heather Paige Thomas, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 E 3rd St Ste 212, Casper, WY 82601 Phone: 307-577-3050 | |
Emily Kathrine Engel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 E 3rd St Ste 104, Casper, WY 82601 Phone: 307-462-4876 Fax: 307-337-3492 | |
Mrs. Martha Jane Carter, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Michelle Grissom, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Mr. Scott Alan Stinson, BSW, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Payne Ave, Casper, WY 82609 Phone: 307-267-4626 |